Provider Demographics
NPI:1033134234
Name:HARRIS, CURTIS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:
Last Name:HARRIS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 PHILLIP MORRIS DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-1964
Mailing Address - Country:US
Mailing Address - Phone:410-831-3174
Mailing Address - Fax:410-630-5579
Practice Address - Street 1:224 PHILLIP MORRIS DR
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-1964
Practice Address - Country:US
Practice Address - Phone:410-831-3174
Practice Address - Fax:410-630-5379
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0053066207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
171399Y5ZMedicare PIN
A17078Medicare UPIN